Workmans Compensation Fraud Policy
Any employee who suspects workers’ compensation fraud should notify his or her supervisor immediately. Supervisors who receive information about suspected workers’ compensation fraud must report that information to Pinnacle.
Examples of workers’ compensation fraud include, but are not limited to:
- Making a false or misleading statement to receive workers’ compensation benefits (Example: reporting an injury that does not exist)
- Misrepresenting or concealing a material fact to receive workers’ compensation benefits (Example: reporting an off-duty injury as a work-related injury)
- Fabricating, altering, concealing or destroying a document to receive workers’ compensation benefits (Example: withholding a doctor’s release to return to work form)
- Conspiring to commit an act described above (Example: helping another employee stage or fake a work-related injury)
Pinnacle may investigate any allegations of workers’ compensation fraud. For this purpose, Pinnacle will have access to all company activities, records, property and personnel required to investigate the alleged fraud on a “need to know” basis, as determined by the president, and subject to applicable law.
Pinnacle will cooperate fully with our Insurance Carrier, as well as federal, state and local law officials, to identify and prosecute any employee who commits or conspires to commit workers’ compensation fraud.
Pinnacle’s general counsel or legal representative will provide legal guidance, advice and counseling in the use and enforcement of this policy.